4. Identify four safety rules that should be followed in

53. Since admission 4 days ago, a client has refused to take a shower, stating, “There are poison crystals hidden in the showerhead. They’ll kill me if I take a shower.” Which nursing action is most appropriate? a. Dismantling the showerhead and showing the client that there is nothing in it b. Explaining that other clients are complaining about the client’s body odor c. Asking a security officer to assist in giving the client a shower d. Accepting these fears and allowing the client to take a sponge bath 54. Drug therapy with thioridazine (Mellaril) shouldn’t exceed a daily dose of 800 mg to prevent which adverse reaction? a. Hypertension b. Respiratory arrest c. Tourette syndrome d. Retinal pigmentation 55. A client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse? a. “I get upset once in a while, too.” b. “I know just how you feel. I’d feel the same way in your situation.” c. “I worry, too, when I think people are talking about me.” d. “At times, it’s normal not to trust anyone.” 56. How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client’s delusional thoughts and hallucinations eliminated? a. Several minutes b. Several hours c. Several days d. Several weeks

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